Dive Therapy & Consulting LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DIVE THERAPY & CONSULTING LLC

Practice address

1055 Howell Mill Rd NW FL 8
Atlanta, GA 30318-5557

Phone

(404) 800-1998

Fax

(404) 393-0989

NPI assigned

Sep 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Speshal T.W. Gautier, PHD

Title

Owner

Phone

(404) 800-1998

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Speshal Walker, PH.D

  • Psychologist
  • Atlanta, GA
  • NPI 1710363940
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1043045941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORTHSIDE DR NW STE A7, PMB 1704",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182695",
            "telephone_number": "404-800-1998",
            "fax_number": "404-393-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 HOWELL MILL RD NW FL 8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185557",
            "telephone_number": "404-800-1998",
            "fax_number": "404-393-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVE THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "GAUTIER",
        "authorized_official_first_name": "SPESHAL",
        "authorized_official_middle_name": "T.W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-800-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dili Priya Divakaran, PT
• Diverse Counseling & Psychological Associates, LLC
• Diverse Counseling & Psychological Associates, LLC
• Diverse Images Management Services LLC,
• Henry Leon Diversi Jr., DMD MSD
• Diversity ABA

• Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.